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PATIENT SAFETY PRIMERS
Nursing and Patient Safety
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STUDY
Voluntarily reported emergency department errors.
Henneman PL, Blank FSJ, Smithline HA, et al. J Patient Safety. 2005;1:126-132.
NEWSPAPER/MAGAZINE ARTICLE
Patient safety in the ED.
Scalise D, Lazar C. Hosp Health Netw. May 2006:80:5,48,2. 
STUDY
Improving self-reporting of adverse drug events in a West Virginia hospital.
Schade CP, Hannah K, Ruddick P, Starling C, Brehm J. Am J Med Qual. 2006;21:335-341.
COMMENTARY
Lost in Transition
Beach C. AHRQ WebM&M [serial online]. Febuary 2006.
STUDY
Emergency department visits for outpatient adverse drug events: demonstration for a national surveillance system.
Budnitz DS, Pollock DA, Mendelsohn AB, Weidenbach KN, McDonald AK, Annest JL. Ann Emerg Med. 2005;45:197-206.
NEWSPAPER/MAGAZINE ARTICLE
How to master the new art of training: teamwork on the fly.
Edmondson AC. Harv Bus Rev. April 2012;90:72-80.
STUDY
Airway carts: a systems-based approach to airway safety.
Kane BG, Bond WF, Worrilow CC, Richardson DM, on behalf of the Lehigh Valley Hospital Airway Task Force. J Patient Saf. 2006;2:154-161.
COMMENTARY
A nurse-driven system for improving patient quality outcomes.
Johnson K, Hallsey D, Meredith RL, Warden E. J Nurs Care Qual. 2006;21:168-175.
STUDY
Medical emergency team calls in the radiology department: patient characteristics and outcomes.
Ott LK, Pinsky MR, Hoffman LA, et al. BMJ Qual Saf. 2012 Mar 2; [Epup ahead of print].
STUDY
A method for measuring system safety and latent errors associated with pediatric procedural sedation.
Blike GT, Christoffersen K, Cravero JP, Andeweg SK, Jensen J. Anesth Analg. 2005;101:48-58.
MULTI-USE WEBSITE
Surgical Care Improvement Project.
National SCIP Partnership, Oklahoma Foundation for Medical Quality, 14000 Quail Springs Parkway, Suite 400, Oklahoma City, OK, 73134.
STUDY
Nursing home error and level of staff credentials.
Scott-Cawiezell J, Pepper GA, Madsen RW, Petroski G, Vogelsmeier A, Zellmer D. Clin Nurs Res. 2007;16:72-78.
COMMENTARY
Hold the tPA.
Fagan SC. AHRQ WebM&M [serial online]. April 2005.
NEWSPAPER/MAGAZINE ARTICLE
Patients taking their own medications while in the hospital.
PA-PSRS Patient Saf Advis. June 2012;9:50-57.
COMMENTARY
PCA Overdose
Doyle DJ. AHRQ WebM&M [serial online]. July/August 2005.
STUDYclassic
The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units.
Thomas EJ, Sexton JB, Neilands TB, Frankel A, Helmreich RL. BMC Health Serv Res. 2005;5:28.
STUDY
Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin.
Donihi AC, DiNardo MM, DeVita MA, Korytkowski MT. Qual Saf Health Care. 2006;15:89-91.
STUDY
A "back to basics" approach to reduce ED medication errors.
Blank FSJ, Tobin J, Macomber S, Jaouen M, Dinoia M, Visintainer P. J Emerg Nurs. 2011;37:141-147.
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